# HILLSBOROUGH COUNTY DEPT OF CHILDREN'S SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinical Services Division
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245241165
- **Authorized official:** DR. CHARLES D. FURMAN III PSY.D. (CLINICAL SERVICES DIRECTOR)
- **Authorized official phone:** (813) 264-3807

## Contact information

- **Practice address:** 3110 CLAY MANGUM LN, TAMPA, FL 33618-2501
- **Practice address phone:** (813) 264-3807
- **Practice address fax:** (813) 264-3872
- **Mailing address:** 3110 CLAY MANGUM LN, TAMPA, FL 33618-2501
- **Mailing address phone:** (813) 264-3807
- **Mailing address fax:** (813) 264-3872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 8006-24 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/22/2020